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Busch, Rebecca S.

Healthcare fraud : auditing and detection guide / Rebecca Saltiel Busch. - 2nd ed. - Hoboken, N.J. : John Wiley & Sons, ©2012. - 1 online resource

Includes bibliographical references and index.

Healthcare Fraud; Contents; Preface; Acknowledgments; CHAPTER 1 Introduction to Healthcare Fraud; What Is Healthcare Fraud?; Healthcare Fraud in the United States; Healthcare Fraud in International Markets; What Does Healthcare Fraud Look Like?; Who Commits Healthcare Fraud?; What Is Healthcare Fraud Examination?; The Primary Healthcare Continuum: An Overview; Healthcare Fraud Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 2 Defining Market Players within the Primary Healthcare Continuum; The Patient; The Provider; The Payer; The Employer/Plan Sponsor.

"This second edition provides comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans. New chapters have been added covering a comprehensive auditing model developed by the author on all of the key elements that must be addressed: Primary Healthcare, Secondary Healthcare, Information/Data Management and Privacy, Damages/Risk Management, and transparency. In addition to six new chapters, the current edition material will all be updated and brought up to date"--Provided by publisher.

9781118227220 1118227220 9781118240250 1118240251 9781118264959 1118264959 9781119203636 1119203635

9786613620552

362055 MIL FC801660-8145-4F23-92F5-243332CA2AEC OverDrive, Inc. http://www.overdrive.com




Medicare fraud.
Medicaid fraud.
Medical care--Law and legislation--Criminal provisions.--United States
Financial Audit--methods.
Fraud--prevention & control.
Computer Security.
Fraud--economics.
Health Care Sector--legislation & jurisprudence.
Medicare fraud.
Medicaid fraud.
Medical care--Law and legislation--Criminal provisions.--United States
Insurance crimes.
LAW--Criminal Law--General.
Medicaid fraud.
Medical care--Law and legislation--Criminal provisions.
Medicare fraud.
Medicare fraud.
Medicaid fraud.
Medical care / Law and legislation / United States / Criminal provisions.
Insurance crimes.


United States.


Electronic books.

KF3608.A4

345.73/0263

W 80

Khulna University of Engineering & Technology

Funded by: HEQEP, UGC, Bangladesh